# ALFRED A KOPECKY, MD, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528262367
- **Authorized official:** MS. KATHY G HAMILTON (PATIENT ACCOUNTS)
- **Authorized official phone:** (361) 573-6351

## Contact information

- **Practice address:** 2501 N NAVARRO ST, VICTORIA, TX 77901-3912
- **Practice address phone:** (361) 573-6351
- **Practice address fax:** (361) 575-6455
- **Mailing address:** 2501 N NAVARRO ST, VICTORIA, TX 77901-3912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | D0199 | TX | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 11/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0070PZ | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 089856102 | — | TX |
| 01 | — | 342445479 | RAILROAD MEDICARE | TX |
| 01 | — | 4350502 | AETNA | TX |